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Title: FIRST QUARTER PROGRESS REPORT: ANNUAL PERFORMANCE PLAN 2014/15


1
PORTFOLIO COMMITTE ON HEALTH 17 SEPTEMBER 2014
FIRST QUARTER PROGRESS REPORT ANNUAL PERFORMANCE
PLAN 2014/15
DEPARTMENT OF HEALTH
SEPTEMBER 2014
2
Purpose
  • Present the First Quarter Progress Report on the
    Annual Performance Plan 2014/15
  • The report is presented by the following
    programmes
  • Programme 1 Administration
  • Programme 2 Health Planning and Systems
    Enablement
  • Programme 3 HIV AIDS, TB and MCWH
  • Programme 4 PHC Services
  • Programme 5 Hospitals, Tertiary Services and
    Workforce Development
  • Programme 6 Health Regulation and Compliance
    Management

3
Total Targets in the Annual Performance Plane of
2014/15
Programmes Quarterly Targets 6 monthly Targets Annual Targets Total targets
Programme 1 3 1 6 10
Programme 2 10 - 10 20
Programme 3 29 - 2 31
Programme 4 5 - 18 23
Programme 5 1 1 5 7
Programme 6 2 2 9 13
Total 50 4 50 104
4
Dashboard
1. Green target on course or fully achieved -
no major action needed. 2. Amber moderate
risk that some problems exist and as a result the
target will not be achieved in the planned
timeframe. Remedial action is needed. 3. Red
Certainty that the target will not be achieved or
was not achieved in the planned timeframes. Major
remedial action and urgent intervention is
required Source National Treasury
5
Progress Report
PROGRAMME 1 ADMINISTRATION
6
Programme 1 Administration
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Ensure effective financial management and accountability by improving audit outcomes Audit opinion from Auditor-General Unqualified Audit Opinion Unqualified Audit Opinion 2013/14
Ensure effective financial management and accountability by improving audit outcomes Audit opinion from Auditor-General for Provincial Departments of Health 3 Unqualified audit opinions North West and Western Cape Departments of Health Receive and Unqualified Audit opinion for 2013/14
Ensure effective financial management and accountability by improving audit outcomes Number of provinces that submit reports against defined set of non-negotiable items on a monthly basis 9 9
7
Programme 1 Administration
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Develop and implement the ICT Governance framework by focusing on the business continuity plan (BCP) inclusive of a disaster recovery plan (DRP) Develop and Implement Business Continuity Plan inclusive of a disaster recovery plan. ICT continuity plan inclusive of a ICT disaster recovery plan (DRP) finalized and approved. The draft ICT service continuity plan has been developed. Internal IT consultations are ongoing
Provide support for effective communication by developing an integrated communication strategy and implementation plan Develop an integrated communication strategy and implementation plan Communication Strategy finalized and approved Consultation on draft Communication Strategy completed
8
Programme 1 Administration
Strategic Objective Indicator Six monthly /Q1 Target Actual performance Overall Progress
Ensure efficient and responsive Human Resource Services through the implementation of efficient recruitment processes and responsive Human Resource support programme Average Turnaround times for recruitment processes. Average recruitment process turnaround time will be 4 months This is an ongoing process and to date the recruitment/selection process is within the target of 4 months.
Provide support for effective communication by developing an integrated communication strategy and implementation plan Develop and Implement Employee wellness programme that comply with Public Service Regulations (PSR) and Employee Health and Wellness Strategic Framework. Implementation of Wellness Management Pillar Various employee wellness and health activities were performed
9
Programme 1 Administration
Strategic Objective Indicator Annual /Q1 Target Actual performance Overall Progress
Facilitate and coordinate evidence based planning for all levels of the health care system, aligned to the health sectors 10 point plan and negotiated service delivery agreement. Planning guidelines for Provincial Annual Performance Plan (APPs) developed and implemented 9 Provincial APPs developed according to guidelines Draft guidelines developed and circulated to Provincial Departments for inputs.
Facilitate and coordinate evidence based planning for all levels of the health care system, aligned to the health sectors 10 point plan and negotiated service delivery agreement. Total number of Provincial APPs reviewed and feedback provided 9 Provincial APPs reviewed and feedback provided Draft Provincial APPs will be submitted to NDoH in September and reviewed during Q2 and Q3.
Establishment of fora for consultation of stakeholders on identified legislation, regulations and policy processes Number of fora for consultation established 1 National and 9 Provincial fora established Consultations on the Certificate of Need (CON) held. Stakeholders groups requested to nominate representatives for the establishment of a Consultative Forum on CON
10
Progress Report
PROGRAMME 2 HEALTH PLANNING AND SYSTEMS
ENABLEMENT
11
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Annual /Q1 Target Actual performance Overall Progress
Achieve Universal Health Coverage through the phased implementation of the National Health Insurance(NHI implementation of the National Health Insurance (NHI). Legislation for NHI. Draft NHI Bill gazetted for public consultation Annual Target
Achieve Universal Health Coverage through the phased implementation of the National Health Insurance(NHI implementation of the National Health Insurance (NHI). Piloting of NHI in selected districts across the country. 10 NHI pilot districts across the country- 10 NHI pilot districts across the country- 10 NHI pilot districts across the country-
Achieve Universal Health Coverage through the phased implementation of the National Health Insurance(NHI implementation of the National Health Insurance (NHI). Piloting of NHI in selected districts across the country. Annual performance evaluation report for 2013/14 Annual Performance Evaluation report prepared
Achieve Universal Health Coverage through the phased implementation of the National Health Insurance(NHI implementation of the National Health Insurance (NHI). Piloting of NHI in selected districts across the country. Approved business plans for all 10 pilot districts Approved Business Plans available
Achieve Universal Health Coverage through the phased implementation of the National Health Insurance(NHI implementation of the National Health Insurance (NHI). Piloting of NHI in selected districts across the country. Monitoring and evaluation performance meetings and site visits for quarter 1 conducted for all 10 NHI pilot sites Visits on first quarter performance of 10 NHI Pilot districts will be conducted in the Second Quarter
Achieve Universal Health Coverage through the phased implementation of the National Health Insurance(NHI implementation of the National Health Insurance (NHI). Piloting of NHI in selected districts across the country. Consolidated quarter 1 performance report for 2014/15 prepared Consolidated Performance report for 1st Quarter will b e prepared in the second quarter
12
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Annual Actual performance Overall Progress
Achieve Universal Health Coverage through the phased implementation of the National Health Insurance(NHI implementation of the National Health Insurance (NHI). Establishment of the National Health Insurance Fund Phase 1 of the implementation of NHI initiated through Creation of a Project Management team established and various activities for the "shadow process" of the NHI Fund initiated Funding Modality for the National Health Insurance Fund including budget reallocation for the district primary health care (PHC) personal health services developed Annual Target
13
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Annual Actual performance Overall Progress
Regulate health care in the private sector by establishing National Pricing Commission and legislating methodologies for calculating fees. Establish National Pricing Commission to regulate health care in the private sector Draft National Pricing Commission Bill gazetted for public consultation Annual Target
Regulate health care in the private sector by establishing National Pricing Commission and legislating methodologies for calculating fees. Revise and legislate methodology for the determination of the dispensing fee. Systematic survey for the dispensing fee completed for 2015/16 cycle The approved dispensing fee was published on 13 June 2014. For persons licensed in terms of Section22 (c)(1) the final notice was published on 3 April 2014
14
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Annual /Q1 Target Actual performance Overall Progress
Regulate health care in the private sector by establishing National Pricing Commission and legislating methodologies for calculating fees. Revise and legislate methodology for the determination of the logistics fee. Revise the instruction document on how to calculate the Logistics Fee for 2015/16 Guidelines on logistics fee calculation have been amended to reflect the new requirement for the logistics fee to be equally adjusted to the same extent as the ex manufacturer price in line with the Ministers SEPA gazette announcement
Regulate health care in the private sector by establishing National Pricing Commission and legislating methodologies for calculating fees. Publish revised SEP adjustment methodology Implementation of the gazette 2014/15 The last date of receiving SEP Adjustment was 1 April and 16 May for resubmissions. In reviewing the SEPA, the old methodology will be used. The gazetted notice calling for comments on the 2015 SEPA was signed by Minister on 23 June
15
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Q1 Target Actual performance Overall Progress
Improve Management and control of pharmaceutical services Percentage of the PHC Essential Medicines List (EML) and Standard treatment Guidelines (STGs) reviewed Annual Target Annual Target
Improve Management and control of pharmaceutical services Percentage of the Hospital Level Paediatric Essential Medicines List (EML) and Standard treatment Guidelines (STGs) reviewed Annual Target Annual Target
Improve Management and control of pharmaceutical services Percentage of the Hospital Level Adult Essential Medicines List (EML) and Standard treatment Guidelines (STGs) reviewed Review 25 of Hospital Level Adult EML/STG Annual Target
16
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Q1 Target Actual performance Overall Progress
Improve Management and control of pharmaceutical services Number of medicines review reports approved by the NELMC for inclusion in the tertiary EML Complete 3 medicine reviews Annual Target
Central chronic medicine dispensing and distribution. Number of Districts implementing centralised chronic medicine dispensing distribution 20 of facilities in 10 NHI districts 46
17
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Develop Business and Enterprise architecture for eHealth. Develop a complete System design for a National Integrated Patient based information system Business architecture for a National Integrated Patient Based Information System developed. Annual target
Establish a National Health Research Observatory. Functional Health Research Observatory Concept paper for the establishment of the National Health Observatory approved Development of the National Health Research Database (NHRD) has been completed and piloted during this reporting period and will feed in to the Health Research Observatory.
18
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Develop and implement an integrated monitoring and evaluation plan aligned to health outcomes and outputs contained in the Health Sector Strategy Develop and implement Integrated monitoring and evaluation plan. Monitoring and evaluation plan for health developed. Draft ME Plan. Draft Annual Report 2013/14 submitted. NIDS Review Process started. Three TIER 2969 health facilities are implementing TIER.Net, of which 1738 facilities are on Phase 6 live T3 (SMARTER) facilities remained at 12. SMARTER facility assessments were conducted.
Establish a coordinated disease surveillance system for Notifiable Medical conditions (NMC). Develop and implement a strategy and plan for the integration of disease surveillance systems for NMC. Draft strategy for the integration of disease surveillance systems for NMC developed. A national report with recommendations on how to strengthen Notifiable Medical Conditions data quality and reporting in South Africa compiled.
19
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Monitor HIV prevalence Annual National HIV Antenatal Prevalence Survey. 2013 National Antenatal Sentinel HIV and Herpes Simplex Type 2 prevalence in South Africa 2013 National, Provincial and 52 Districts HIV survey data from five provinces have been captured.
20
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Domestication of international treaties and Implementation of multilateral cooperation on areas of mutual and measurable benefit Implement International treaties and multilateral frameworks. International treaties and multilateral frameworks implemented Attendance and participation in - 67th Session of the World Health Assembly in Geneva, on May 2014 the Second meeting of the Global Network of the WHO National Counterparts 56th session of the International Agency for Research on Cancer (IARC) governing Council and 2nd Symposium on surveillance response system leading to tropical diseases elimination. Department was the editorial of the WHO Bulletin Theme Issue on BRICS and Global Health. The NDOH/WHO Coordination Meeting was convened
21
Programme 2 National Health Insurance, Health
Planning and Systems Enablement
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Implementation of bilateral cooperation on areas of mutual and measurable benefit. Number of Bilateral projects implemented. Two strategic bilateral projects implemented Consulted with China desk at Dirco on processing amendments for legal opinion at State Law Advisers (JusticeDirco) and possible signing of Agreement between South Africa and the Republic of China on cooperation in the field of Health Medical Sciences.
22
Progress Report
PROGRAMME 3 HIV AND AIDS, TUBERCULOSIS ,
MATERNAL, CHILD AND WOMENS HEALTH
23
Programme 3 HIV and AIDS, TB and Maternal Child
and Womens Health
Strategic Objective Indicator Quarter One Target Actual performance Overall Progress
To scale up combinationof prevention interventionsto reduce new infections Number of HIV test client 15-49 years 2 500 000 1 817 898
To scale up combinationof prevention interventionsto reduce new infections Number of Medical Male circumcisions performed 250 000 101 609
Increase the numbers of HIV positive people who are managed so that they do not contract opportunistic infections especially TB and who receive antiretroviral therapy when needed. Total clients remaining on ART (TROA) at the end of the month 2 400 000 2 716 513
Increase the numbers of HIV positive people who are managed so that they do not contract opportunistic infections especially TB and who receive antiretroviral therapy when needed. TB/HIV co-infected client initiated on ART rate 64 (585277 of 914 496 ) 62.7(15377/24231)
24
Programme 3 HIV and AIDS, TB and Maternal Child
and Womens Health
Strategic Objective Indicator Quarter One Target Actual performance Overall Progress
Improve the effectiveness and efficiency of the routine TB control programme to increase the identification of TB patients to ensure that these take and complete their treatmentof Tuberculosis TB new client treatment success rate 82 71.8
Improve the effectiveness and efficiency of the routine TB control programme to increase the identification of TB patients to ensure that these take and complete their treatmentof Tuberculosis TB (new pulmonary) treatment defaulter rate 6 5.6
Improve the effectiveness and efficiency of the routine TB control programme to increase the identification of TB patients to ensure that these take and complete their treatmentof Tuberculosis Number of trained TB tracing coordinators 5 96
Improve the effectiveness and efficiency of the routine TB control programme to increase the identification of TB patients to ensure that these take and complete their treatmentof Tuberculosis TB Death Rate 6 5.4
To improve the functioning of the MDR-TB control programme including earlier initiation and decentralised treatment Number of professional nurses trained to initiate MDR-TB treatment 5 9
To improve the functioning of the MDR-TB control programme including earlier initiation and decentralised treatment Number of hospitals assessed according to the Treatment Criteria 5 5
To improve the functioning of the MDR-TB control programme including earlier initiation and decentralised treatment TB MDR confirmed treatment initiation rate 57 60.9
To improve the functioning of the MDR-TB control programme including earlier initiation and decentralised treatment TB MDR treatment success rate 44 36.8
25
Programme 3 HIV and AIDS, TB and Maternal Child
and Womens Health
Strategic Objective Indicator Quarter One Target Actual performance Overall Progress
Ensure that all correctional services facilities have appropriate services and that inmates all have access to TB and HIV diagnosis and treatment services and care Number of Correctional Services Management areas with risk assessments undertaken 5 0
Ensure that all correctional services facilities have appropriate services and that inmates all have access to TB and HIV diagnosis and treatment services and care Percentage of correctional services centres conducting routine TB screening 30 36
26
Programme 3 HIV and AIDS, TB and Maternal Child
and Womens Health
Strategic Objective Indicator Quarter One /Annual Target Actual performance Overall Progress
To reduce the maternal mortality ratio to under 100 per 100 000 live births. Antenatal 1st visit before 20 weeks rate 55 50
To reduce the maternal mortality ratio to under 100 per 100 000 live births. Mother postnatal visit within 6 days rate 76 74.7
To reduce the maternal mortality ratio to under 100 per 100 000 live births. Maternal mortality in facility ratio (annualised) Annual 449/397659
To reduce the neonatal mortality rate to under 6 per 1000 live births. Inpatient Neonatal death rate (annualized) 11 per 1000 Live Births 13.3 per 1000 live births
To improve access to sexual and reproductive health services by expanding the availability of contraceptives. Couple year protection rate 55 37.4
To improve access to sexual and reproductive health services by expanding the availability of contraceptives. Cervical cancer screening coverage 60 51.1
To improve access to sexual and reproductive health services by expanding the availability of contraceptives. HPV 1st dose coverage 70 87.4
27
Programme 3 HIV and AIDS, TB and Maternal Child
and Womens Health
Strategic Objective Indicator Quarter One Target Actual performance Overall Progress
Expand the PMTCT coverage to pregnant women by ensuring all HIV positive Antenatal clients are placed on ARVs and reducing the positivity rate to below 1. Antenatal client initiated on ART rate. 93 84.5
Expand the PMTCT coverage to pregnant women by ensuring all HIV positive Antenatal clients are placed on ARVs and reducing the positivity rate to below 1. Infant 1st PCR test positive around 6 weeks rate. 1.8 1.6
28
Programme 3 HIV and AIDS, TB and Maternal Child
and Womens Health
Strategic Objective Indicator Quarter One Target Actual performance Overall Progress
To reduce under-five mortality rate to less than 23 per 1,000 live births by promoting early childhood development Child under 5 years diarrhoea case fatality rate 3.5 (1 775/45 880) 3.9
To reduce under-five mortality rate to less than 23 per 1,000 live births by promoting early childhood development Child under 5 years severe acute malnutrition case fatality rate 8 14.2
To reduce under-five mortality rate to less than 23 per 1,000 live births by promoting early childhood development Confirmed measles case incidence per million total population lt5/1,000,000 0.27/1,000,000
To contribute to health and wellbeing of learners by screening for health barriers to learning Immunisation coverage under 1 year (annualised) 90 (970 919 / 1 078 799 ) 85.7
To contribute to health and wellbeing of learners by screening for health barriers to learning DTaP-IPV/Hib 3 - Measles 1st dose drop-out rate 7 (70 176/1 002 514 ) 1.6
To contribute to health and wellbeing of learners by screening for health barriers to learning Measles 2nd dose coverage (annualised) 82 (874 562/1 066 540) 73
29
Programme 3 HIV and AIDS, TB and Maternal Child
and Womens Health
Strategic Objective Indicator Quarter One Target Actual performance Overall Progress
To contribute to health and wellbeing of learners by screening for health barriers to learning School Grade 1 screening coverage (annualised) 28 25,5
To contribute to health and wellbeing of learners by screening for health barriers to learning School Grade 8 screening coverage (annualised) 12 7.0
30
Progress Report
PROGRAMME 4 PRIMARY HEALTH CARE SERVICES
31
Programme 4 Primary Health Care Services
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Improve district governance and strengthen management and leadership of the district health system. Number of primary health care facilities with functional clinic committees/ district hospital boards. Implementation plan approved. 743 clinics,77 CHCs 73 hospitals in four provinces
Improve district governance and strengthen management and leadership of the district health system. Number of primary health care facilities with functional clinic committees/ district hospital boards. Monitoring and evaluation system developed. Draft 7 DHS strategy presented and endorsed by TACNHC for approval by the NHC
Improve district governance and strengthen management and leadership of the district health system. Number of districts with uniform management structures for primary health care facilities. Uniform management structures for PHC facilities approved and resources secured. Conducting workshops to determine appropriate management structures. Pro-forma job descriptions obtained.
Establish an intersectoral forum that will plan and oversee the implementation of interventions across all sectors. Establish National Health Commission. Key government departments, civil society and other key stakeholders consulted on the establishment of the intersectoral forum. Final draft of the Framework for addressing Social Determinants of Health submitted for approval
32
Programme 4 Primary Health Care Services
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Improve access to community based PHC services and quality of services at primary health care facilities.   Number of primary health care clinics in the 52 districts that qualify as Ideal Clinics. Roll out plan approved and resourced. A guide and model for perfect team for ideal clinic realisation and maintenance model
Improve access to community based PHC services and quality of services at primary health care facilities.   Number of functional WBPHCOTs Quarter One Target1200 functional WBPHCOTs 1053 functional WBPHCOTs
Ensure that the Port Health services are rendered in line with the International Health Regulations Number of Ports of Entry that are compliant with the International Health Regulations 20 ports of entry compliant with the International Health Regulations One IHR 2005 core capacity implementation audit conducted and draft plan received from Free State Province point of entry
33
Programme 4 Primary Health Care Services
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Improve environmental health services in all 52 districts and metropolitan municipalities in the country.   Number of municipalities that meet environmental health norms and standards in executing their environmental health functions. Environmental Health strategy developed Draft 0Environmental Health strategy developed.
Improve environmental health services in all 52 districts and metropolitan municipalities in the country.   Ensure compliance with Health Waste management regulations. Health Care waste management regulations finalised Regulations relating to health care waste management in health establishments were published on 23 May 2014 for public comments.
34
Programme 4 Primary Health Care Services
Strategic Objective Indicator Quarter One Annual Target Actual performance Overall Progress
Eliminate Malaria by 2018, so that there is zero local cases of malaria in South Africa Reduce the local transmission of malaria cases to 0 per 1000 population at risk 0.3 malaria cases per 1000 population at risk. 0.19 (1825 confirmed local cases)
Eliminate Malaria by 2018, so that there is zero local cases of malaria in South Africa Number of malaria endemic districts reporting malaria cases within 24 hours of diagnosis 3 malaria endemic districts reporting malaria cases within 24 hours of diagnosis. 1 malaria endemic district, Ehlanzeni, is reporting within 24 hours.
Improve South Africas response with regard to Influenza prevention and control Number of high risk population covered by the seasonal influenza vaccination 750 000 high risk individuals covered with seasonal influenza vaccination. Annual Target
35
Programme 4 Primary Health Care Services
Strategic Objective Indicator Quarter one Annual Target Actual performance Overall Progress
Reduce risk factors and improve management for Non-Communicable Diseases (NCDS) by implementing the Strategic Plan for NCDs 2012-2017 reduction in obesity in men and women 65 obese women Annual target
Reduce risk factors and improve management for Non-Communicable Diseases (NCDS) by implementing the Strategic Plan for NCDs 2012-2017 reduction in obesity in men and women 31 obese men Annual target
Reduce risk factors and improve management for Non-Communicable Diseases (NCDS) by implementing the Strategic Plan for NCDs 2012-2017 Number of people counseled and screened for high blood pressure 10 000 people screened for high blood pressure 34 998
Reduce risk factors and improve management for Non-Communicable Diseases (NCDS) by implementing the Strategic Plan for NCDs 2012-2017 Number of people counseled and screened for raised blood glucose levels 10 000 people screened for raised blood glucose levels 34 998
36
Programme 4 Primary Health Care Services
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Improve access to and quality of mental health services in South Africa Percentage people screened for mental disorders Information system and baseline established Annual target
Improve access to and quality of mental health services in South Africa Percentage people screened for mental disorders 25 of 16.5 (prevalence) people screened and tested for mental disorders Annual target
Improve access to and quality of mental health services in South Africa Percentage of people treated for mental disorders Information system and baseline established Annual target
Improve access to and quality of mental health services in South Africa Percentage of people treated for mental disorders 25 of 16.5 (prevalence) people screened and tested for mental disorders Annual target
37
Programme 4 Primary Health Care Services
Strategic Objective Indicator Quarter one Annual Target Actual performance Overall Progress
Improve access to disability and rehabilitation services through the implementation of the framework and model for rehabilitation and disability services Number of Districts implementing the framework and model for rehabilitation services Model approved and costed Annual target
Improve access to disability and rehabilitation services through the implementation of the framework and model for rehabilitation and disability services Cataract Surgery Rate 1 500 operations per million un-insured population Annual target
38
Programme 4 Primary Health Care Services
Strategic Objective Indicator Quarter one Annual Target Actual performance Overall Progress
Ensure access to and efficient effective delivery of quality Emergency Medical Services (EMS). Number of provinces that are compliant with the EMS regulations. Draft EMS Regulations developed. Regulations approved for publishing for public comment
Ensure access to and efficient effective delivery of quality Emergency Medical Services (EMS). Review EMS Response Time monitoring system. Review pre-hospital EMS response times indicators and finalise definitions. Provincial workshop convened for 5 August 2014 to finalise the 2015 - 2016 data set
39
Programme 4 Primary Health Care Services
Strategic Objective Indicator Quarter one Annual Target Actual performance Overall Progress
To improve Forensic Chemistry Laboratory turnaround times for blood, alcoholic, toxicology and food samples. Median waiting time for blood alcohol results. Baseline established. 6.3 months average for newly received samples in 3 FCLs
To improve Forensic Chemistry Laboratory turnaround times for blood, alcoholic, toxicology and food samples. Turnaround times of toxicology tests and reports. Baseline established. 7.3 months average for newly received samples at 3 FCLs
To improve Forensic Chemistry Laboratory turnaround times for blood, alcoholic, toxicology and food samples. Turnaround times of food products tests and reports. Baseline established. Perishable average for 2 FCLs - 20.5 days, Non-perishables for 2 FCLs - 126
Turnaround times of food products tests and reports. Baseline established 120 days for non-perishables Perishable average for 2 FCLs - 20.5 days, Non-perishables for 2 FCLs - 126
40
Progress Report
PROGRAMME 4 HOSPITALS, TERTIARY SERVICES AND
WORKFORCE DEVELOPMENT
41
Programme 5 Hospitals, Tertiary Services and
Workforce Development
Strategic Objective Indicator Quarter one Annual Target Actual performance Overall Progress
Increase capacity of central hospitals to strengthen local decision making and accountability to facilitate semi-autonomy of 10 central hospitals. No. of central hospital with reformed management and governance structures as per the prescripts. 0 0
Ensure equitable access to tertiary service through implementation of the National Tertiary services plan. Number of gazetted hospitals providing the full package of Tertiary1 Services. 2 gazetted tertiary hospitals providing the full package of Tertiary 1 services. 3
Ensure quality health care by improving compliance with National Core Standards at all Central, Tertiary, Regional and Specialised. compliance with extreme and vital measures of the National Core Standards all Central, Tertiary, Regional and Specialised Hospitals. 100 compliance with extreme and vital measures of the National Core Standards in 5 Central Hospitals. Annual Target
42
Programme 5 Hospitals, Tertiary Services and
Workforce Development
Strategic Objective Indicator Quarter One Annual Target Actual performance Overall Progress
Develop health workforce staffing norms and standards. Develop guidelines for HRH norms and standards using the WISN methodology. Draft guidelines for PHC- HR norms and standards available. The process of developing PHC Staffing Norms guidelines has commenced. A project plan for this work has been developed with WHO
Ensure that the number, distribution, quality and standard of health facilities are in compliance with norms and standards. Number of RTC's established. 3 RTCs established. 4 RTCs established and functional
43
Programme 5 Hospitals, Tertiary Services and
Workforce Development
Strategic Objective Indicator Quarter One Annual Target Actual performance Overall Progress
Improve quality of Nursing training and practice by ensuring that all Nursing colleges are accredited to offer the new Nursing qualification. Number of public nursing colleges accredited to offer the new nursing qualification. 5 public nursing colleges accredited to offer the new nursing qualification. mapping out of a detailed project plan outlining requisite activities for positioning nursing education within the higher education landscape
44
Programme 5 Hospitals, Tertiary Services and
Workforce Development
Strategic Objective Indicator Quarter One Annual Target Actual performance Overall Progress
Improve quality of health infrastructure in South Africa by ensuring all new health facilities are compliant with health facility norms and standards. Percentage of facilities that comply with gazetted infrastructure Norms Standards. 100 from date of gazetting. Annual Target
45
Progress Report
PROGRAMME 6 HEALTH REGULATION AND COMPLIANCE
MANAGEMENT
46
Programme 6 Health regulations and Compliance
Management
Strategic Objective Indicator Quarter One Annual Target Actual performance Overall Progress
Regulate Complementary and Alternative Medicines (CAMS), Medical Devices, Invitro Diagnostics and African Traditional Medicines in South Africa. Regulate Complementary and Alternative Medicines (CAMS), Medical Devices, Invitro Diagnostics and African Traditional Medicines. CAMS for Oncology, Cardiovascular Diseases, HIV/AIDS and Diabetes Regulated. 10 applications being reviewed.
Improve the efficiency of the Regulator through restructuring by establishing South African Health Product Regulation Authority (SAHPRA) as a public entity. Establish SAHPRA as a public entity. National Health Amendment Bill drafted. Bill going through parliamentary processes.
47
Programme 6 Health regulations and Compliance
Management
Strategic Objective Indicator Quarter One Annual Target Actual performance Overall Progress
Strengthen food safety through expanding testing capabilities for adulterants (colourants, protein, and allergens Develop and establish MOUs with food testing institutions to enable testing for adulterants in food products Consultations and two draft MOUs with testing institutions Internal consultations are on-going to establish the extent of the capacity and capabilities to conduct testing of food samples.
Improve registration of response times for antiretroviral, oncology, TB medicines and vaccines used to treat high burden diseases. Percentage of prioritised medicines (antiretroviral, oncology, TB medicines and vaccines) registered within 22 Months for New Chemical Entities (NCEs), and 15 months for multisource medicines. 60 of all prioritised medicines registered within 22 months (NCEs) and 15 months (multisource medicines). ARVs registered within 18 months 22. Oncology within 30 months 100. TB medicines 0. Vaccines (NCEs) 50 . 137 products were registered, 9 of which were ARVs, Oncology TB. 7 NCEs, 1 Vet, 2 Biological Oncology medicines. 77 products were withdrawn and applications for registration of 156 products were cancelled.
48
Programme 6 Health regulations and Compliance
Management
Strategic Objective Indicator Quarter One Annual Target Actual performance Overall Progress
Improve oversight and Corporate Governance practices by reviewing the Governance Framework and Implementation Plan biennially. Develop and Implement Governance Framework and Implementation Plan for Public Entities and Statutory Councils. Approved Governance Framework and Implementation Plan. Draft Governance framework for public entities and statutory councils
Improve oversight and Corporate Governance practices by reviewing the Governance Framework and Implementation Plan biennially. Functional governance structures established. Fully constituted Boards/ Councils for health entities and statutory councils of the Department Draft governance report for public entities and statutory councils
Traditional Health Practitioners Act reviewed Meeting to review the Traditional Health Act scheduled for September 2014
49
Programme 6 Health regulations and Compliance
Management
Strategic Objective Indicator Annual Target Actual performance Overall Progress
Enhance governance and management by establishing all committees at the CCOD/MBOD. Audit opinion from the Auditor-General for CCOD. Governance structures enhanced to improve audit outcome. One meeting of Audit Risk Committee
Establish occupational health services within the public health system. Number of provinces with occupational health services within their facilities. Establishment of one occupational health service in one health facility in each of Eastern Cape and Gauteng provinces. Established service for current ex-miners at Nelson Mandela Academic Hospital in Mthatha and Carletonville Hospital
50
Programme 6 Health regulations and Compliance
Management
Strategic Objective Indicator Quarter One Annual Target Actual performance Overall Progress
Provide for coordinated disease and injury surveillance and research by establishing National Public Health Institute of South Africa (NAPHISA). Establish National Public Health Institutes of South Africa (NAPHISA). Conceptual framework and Business case for NAPHISA approved. Annual target
51
Programme 6 Health regulations and Compliance
Management
Strategic Objective Indicator Quarter One Annual Target Actual performance Overall Progress
To monitor the existence of and progress on annual and regular plans that addresses breaches of quality, safety and compliance in all public sector establishments addresses breaches of quality, safety and compliance in all public sector establishments. Percentage of Health Establishments that have developed an annual Quality Improvement Plan based on OHSC inpections 35 facilities were inspected and provided with feedabck for the preparartion of the quality improvement plans
To improve the acceptability, quality and safety of health services by increasing user and community feedback and involvement. Patient satisfaction surveys rate. 70 Annual target
To improve the acceptability, quality and safety of health services by increasing user and community feedback and involvement. Patient satisfaction rate Determine Baseline. Annual target
52
Thank You
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